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General NPI Number Information
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NPI Number | 1083769624
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Entity Type | Individual
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Provider Name | DEZIREE LINDSEY L.M.P.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 13106 AMARILLO AVE
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City | AUSTIN
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State | TX
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Zip | 78729-7539
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Country | US
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Telephone | 206-251-9719
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 CAMINO LA COSTA
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City | AUSTIN
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State | TX
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Zip | 78752-3930
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Country | US
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Telephone | 512-478-4939
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00022532
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-312688
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License Number State |
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